JOURNAL ARTICLE

Frequency and clinical outcomes of pharmacist-driven switching from warfarin to direct oral anticoagulants in an underserved patient population: A retrospective cohort study.

  • Published In: American Journal of Health-System Pharmacy, 2023, v. 80. P. S103 1 of 3

  • Database: Academic Search Ultimate 2 of 3

  • Authored By: Bartholomew, Rebekah R; Noble, Brie N; Stanislaw, Jennifer J; Viehmann, Megan; Herink, Megan C; Furuno, Jon P 3 of 3

Abstract

This article examines pharmacist-driven switches from warfarin to direct oral anticoagulants (DOACs) in an underserved patient population at a federally qualified health center. Among 189 adult patients assessed, 57% were switched to a DOAC primarily due to less frequent monitoring requirements and patient preference, while reasons against switching included clinical inappropriateness (e.g., mechanical heart valve, high body mass index) and patient choice. The study found low incidences of thrombotic and bleeding events within six months post-assessment and demonstrated adherence to recommended laboratory monitoring after switching. These findings suggest that pharmacist-led anticoagulation management using a standardized electronic health record template can safely facilitate warfarin-to-DOAC transitions in underserved settings.

Additional Information

  • Source:American Journal of Health-System Pharmacy. 2023/09, Vol. 80, pS103
  • Document Type:Article
  • Subject Area:Health and Medicine
  • Publication Date:2023
  • ISSN:1079-2082
  • DOI:10.1093/ajhp/zxac375
  • Accession Number:170047705
  • Copyright Statement:Copyright of American Journal of Health-System Pharmacy is the property of Oxford University Press / USA and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

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